• The Journal of Korean Medicine
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• v.27 no.2 s.66
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• pp.145-154
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• 2006

Objectives : Methods to evaluate obesity are growing to be important in studying links between health and disease. Physicians are using BMI (body mass index) to evaluate obesity, but they can't know how much fat the body has by using that method. Even though there are several assessments, there are different scales, so patients are diagnosed as obese, by some but not by others. These studies are limited in evaluating obesity; it is necessary to study based on new knowledge. According to Oriental Medical Theory, obese people are categorized into 3 types, Fei, Kao and Liu Ren. They have different pathology and body shapes than non-obese people. The relationship between Oriental Medical Theory and BMI and assessment of body fat is a fundamental need to easily approach and treat obesity. Methods : At 00 Oriental Medical Center, 145 female subjects who intended to lose weight were given physical tests and grouped into 5 types of obesity. The physical tests were height measurement, BMI, body composition (body fat mass and lean body mass), skin elasticity and physical strength tests. One-way analysis of variance was done to compare the means of physical tests between the five types of obese women. There was some relationship between characteristics of the five types based on physical tests and Fei, Kao and Liu Ren based on Oriental Medical Theory. Least significant difference (LSD) was used in multiple comparisons. Results : 1. According to the skin elasticity test, obesity type 5 placed between obesity types 3 and 4 and obesity types 1 and 2. Obesity types 3 and 4 were in the low skin elasticity result group; obesity types 1 and 2 were in the high ones (p<0.1).Based on Oriental Medical Theory, Fei Ren and Kao Ren can be distinguished by skin elasticity degree. This result should form the basis of obesity diagnosis. 2. According to Oriental Medical Theory, Fei Ren is smaller than others. Based on height measurement, obesity types 3 and 4 were significantly lower than other obesity types (p<0.1), so there is a relationship between Fei Ren and obesity types 3 & 4. 3. There were significant differences between obesity type 2 and obesity type 4 in the body fat mass result (p<0.1). This study did not have large enough a sample size to distinguish Liu Ren. Conclusions : Further clinical research is necessary to study measurement methods of body shape type and skin elasticity for distinguishing Fei Ren from Kao Ren. The diagnosis and treatment based on the relationship of these types should be studied further.

• Journal of the Korean Institute of Oriental Medical Informatics
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• v.11 no.1
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• pp.47-51
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• 2005

Obesity can cause abnormality of ovarian function, which can also result disorder of menstruation. According to several studies, to reduce weights is the effective treatment in order to cure amenorrhea such as disorder of menstruation caused by obesity. This study shows a case that an obese woman by sumdam(濕痰) recovered from abnormality of menstruation as losing her weight due to a dose of Yijintang(二陳湯).

• Tuberculosis and Respiratory Diseases
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• v.49 no.4
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• pp.495-501
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• 2000

Background : Cardiopulmonary exercise test is a useful test for the evaluation of the cardiovascular and respiratory systems. Obese subjects have an increased resting metabolic rate ($VO_2$) compared to non~obese subjects and the increase is more marked during dynamic exercise, which results in the limitation of maximal exercise in obese subjects. In this study, the influence of the obesity and fat distribution on the maximal exercise capacity were evaluated. Methods : Maximal exercise capacity was represented by maximam maximum oxygen uptake and $VO_2$ max in the cardiopulmonary test. Obesity, total fat content and abdomina1 obesity(waist to hip ratio, WHR) were measured by bioelectrical impedence method. Total of 42 volunteers (male 22, fema1e 20) were evaluated. Results : 1) Weight to height ratio (mean$\pm$SD) was 110$\pm$14.9% in men and 100$\pm$11.1% in women. 2) Fat ratio (mean$\pm$SD) was 23.3$\pm$5.2% in men and 27.55$\pm$3.9% in woman. 3) Waist to hip ratio (mean$\pm$SD) was 0.85$\pm$0.04 in men and 0.8$\pm$0.03 in woman. 4) In men, $VO_2$ max/min/Kg was negatively correlated with obesity, fat ratio, and abdominal fat distribution. 5) In woman, $VO_2$ max/Kg was negatively correlated with obesity and fat ratio, but did not show significant relationship with abdominal fat distribution. Conclusion : Obesity was a limiting factor for maximal exercise in both men and women. Abdominal obesity was a limiting factor for maximal exercise in men but its implication to women needs further evaluation.

• Journal of Korean Medicine for Obesity Research
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• v.10 no.1
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• pp.1-16
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• 2010

Objectives The clinical trial was designed to investigate the safety and effects of Bofu-tsusho-san extracts on the change of the weight, body compositions, serum in obese patients. Methods This study was a 4-weeks, double blind, comparative clinical trial. Eligible subjects had a body mass index(BMI) greater than $25\;kg/m^2$ and waist circumference(WC) longer than 85 cm in woman or 90 cm in man. Among 38 subjects, 36 subjects were randomized either to Bofu-tsusho-san or placebo. After 4 weeks of treatment, we measured anthropometric factors(weight, height, WC, BMI etc.), abdominal fat area by CT scanning, serum lipid(total cholesterol(TC), triglyceride(TG), HDL cholesterol, LDL cholesterol), blood level of variety(glucose, adiponectine, leptin, C-reactive protein(CRP) etc.), blood pressure(BP). Adverse events also evaluated. Results BMI, BP, TG, CRP were reduced and weight, WC, score of KOQOL(Korean version of obesity-related QOL scale), SRI(Stress response inventory) were significant changed in Bofu-tsusho-san. But there were no considerable difference between Bofu-tsusho-san and placebo. there were no serious adverse events in either group. Conclusion There were limitations in this study that it conducted within a short period of 4 weeks. but its weight and WC loss effect was significant and it had few adverse events.

• Journal of Korean Medicine for Obesity Research
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• v.7 no.1
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• pp.97-106
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• 2007

Objectives : The purpose of this study was to investigate the clinical effect of oriental medical short term therapy on visceral fat obesity. In present study, we report 20-year-old visceral fat obesity woman who experienced oriental medical therapy program. Methods : The obese patient was treated from the 20th of June to the 3rd July. Herbal medicine, low calorie diet, electrolipolysis, auricular acupuncture, and aerobic exercise were done during the treatment period. Results : Her body weight decreased from 77.30kg to 71.15kg. The BMI decreased from $32.6kg/m^2$ to $29.5kg/m^2$. First of all, visceral fat tissue was effectively decreased after oriental obesity therapy evaluated by CT. Visceral fat tissue decreased from $123.44cm^2$ to $83.06cm^2$, subcutaneous fat tissue from $327.88cm^2$ to $323.09cm^2$. Short term oriental medical treatment could be effective in visceral fat obesity treatment. Conclusions : The patient with visceral fat obesity was improved using short term oriental medical treatment.

• Research in Community and Public Health Nursing
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• v.17 no.4
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• pp.501-511
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• 2006

Purpose: The purpose of this study was to investigate BMI, self-esteem and attitude toward body shape perceived by obese adults. Method: The subjects were 129 adults selected from visitors to the obesity clinics of three university hospitals in Seoul and Gyeonggi-do. Results: 1) Of the subjects. 26.3% appeared normal. 2) The mean BMI was 27.38. 3) The degree of self-esteem showed above average as 29.1 on the average. 4) The degree of attitude toward body shape showed above average as 27.2 on the average. 5) There were significant differences in BMI according to educational level (F=4.102, p=.019), in self-esteem according to sex (t=2.484, p=.014), educational level (F=2.781, p=.044), and medication or not (t=2.003, p=.048) and in attitude toward body shape according to age (F=3.059, p=.019), sex(t=-5.281, p=.000), diet or not(t=-3.286, p=001), exercise or not (t=-3.286, p=.001), and medication or not(t=-3.659, p=.000). 6) There were significant correlations between BMI and attitude toward body shape (r=.353, p=.000) and between self-esteem and attitude toward body shape (r=-.310, p=.000). Conclusion: The results of his study suggest that nurses need to help their patients have correct information about obesity.

• Journal of the Korea Fashion and Costume Design Association
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• v.1 no.1
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• pp.127-139
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• 1999

The purpose of this study was to understand the preference of fashion materials according to the degree of consciousness and satisfaction of body. A survey was conducted using the randomly selected 439 woman students in the twenties. The consciousness variable had three levels which were lean, medium, and obese shape for each whole, upper and lower body with self-consciousness. Also, satisfaction variable had three levels which were satisfying, average, and unsatisfying group. We analyzed the data using analysis of correlation, crosstabulation analysis, and analysis of variance including Duncan multiple test. The results were as follows: 1) There was the positive correlation between height, leg, and arm length, and each variable, and the negative correlation between back, hip, thigh, waist, lower leg, ankle, and upper arm, and each variable. Also, we could observe the pattern that the larger the head or the more the weight was, the lower the satisfaction of body was. 2) There were no strong correlation between breast and hand size and each variable. From the crossed classification, we could observe the trend that the smaller the breast was, the lower the satisfaction of body was. 3) There were the strong correlation between whole and upper body in consciousness degree and between whole and lower body in satisfaction. 4) The consciousness of the whole body was shown lean shape 23.4%. medium shape 49.2%, and obese shape 27.2%. For the satisfaction degree of the whole body, satisfaction was shown 6.8%, average 41.7% and unsatisfaction 51.4%, so the satisfaction group is very small. 5) From the analysis for the consciousness degree of the whole body, the preferred fashion materials were polyester and acetate in casual wear, linen, polyester, acryl, T/W, and polyurethan in formal wear, and cotton, nylon, TIC, and T/W in sports wear. There was significant difference in casual wear, formal wear, and sports wear, but, not in underwear and accessories among he consciousness groups. 6) From the analysis for the satisfaction degree of the whole body, the preferred fashion materials were linen, silk, and acetate in casual wear, cotton in underwear, polyurethane in formal wear, and nylon in sports wear. There was the significant difference in casual wear, underwear, formal wear and sports wear, but, not in accessories among the satisfaction groups.

• The Research Journal of the Costume Culture
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• v.20 no.4
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• pp.529-534
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• 2012

An analysis of adult women's somatotypes classified by drop values can provide important preliminary data in determining standard clothing sizes for mass production of ready-made clothes. This is because the values are based on measurements of girth, which is essential information in the size-setting process. Adult women's body types are classified according to drop values in a standard clothing size system adopted by Korea and several other countries. This study aims to identify somatotype characteristics of adult women aged 20 to 69 by using five types of drop values: bust-waist, hip-waist, hip-bust, abdomen-waist, and hip-abdomen. Statistical cluster analysis of collected data revealed four somatotypes among adult women. Type R, with a developed lower body, accounted for 36.6%, and its bodyline was found to be closest to the average adult woman. Type X, constituting 25.4%, had the curviest contours of all and relatively large hip measurements, with the thinnest figure. Flat abdomen and hips characterized type Y, which accounted for 18.9%. Lastly, 19.0% fell into type H, the most obese figure, in which abdomen girth exceeded hip measurements. Since type H has excess fat deposits in the abdomen, not only hip measurements but also abdomen girth should be considered when designing top longer than torso-length and bottoms.

• Journal of Korean Medicine for Obesity Research
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• v.17 no.2
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• pp.140-144
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• 2017

A highly obese female patient (body mass index=$30.8kg/m^2$) participated in a 10-day Gamrosu modified fasting therapy with soluble dietary fiber supplementation to enhance lipid metabolism. Gamrosu is a modified fasting therapy beverage which is made from medical herbs and carbohydrates (431 kcal/d). Before and after fasting, we evaluated the efficacy of therapy by measuring the changes of body composition and blood chemistry. After the modified fasting therapy, -6.1% of body weight and -5.6% of body fat mass were decreased. With regard to blood chemistry, all the plasma lipid levels were lowered. -37.4% of total cholesterol, -39.7% of low density lipoprotein cholesterol, -39.0% of triglyceride and -27% of high density lipoprotein (HDL) cholesterol were reduced. Further studies are needed to alleviate the reduction of HDL-cholesterol to apply the Gamrosu modified fasting to hyperlipidemia.

• Nutrition Research and Practice
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• v.15 no.4
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• pp.456-467
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• 2021

BACKGROUND/OBJECTIVES: The prevalence of morbid obesity in Korean women has consistently been increasing, while the overall prevalence rate of obesity in Korean women seems to be stable. In addition to bariatric surgery, intragastric balloons (IGBs), as a nonsurgical therapy, have been reported to be effective in weight loss. However, the beneficial effects of IGB in Korean women with obesity have not been fully investigated. The aim of this study was to evaluate the changes in fat mass in Korean women with obesity who had undergone IGB treatment for 6 mon. SUBJECTS/METHODS: Seventy-four women with obesity (body mass index [BMI] ≥ 25.0 kg/m²) were recruited. Clinical data, including general information, comorbidities with obesity, anthropometric data, and changes in the body fat composition before and after IGB treatment, were obtained from the subjects. RESULTS: Most subjects had one or more comorbidities, such as osteoarthropathy and woman's disease, and had poor eating behaviors, including irregular mealtimes, eating quickly, and frequent overeating. Body composition measurements showed that weight, fat mass, and waist-hip circumference ratio decreased significantly at 6 mon after IGB treatment. In particular, women with morbid obesity (BMI ≥ 30 kg/m²) showed 33% excess weight loss. There was no significant difference in skeletal muscle mass and mineral contents after IGB treatment. CONCLUSIONS: This study suggested that 6 mon of IGB treatment can be a beneficial treatment for obesity without muscle mass and bone mineral loss.